11D0266658 CLIA NUMBER - GLENN E FUSSELL MD

Laboratory Demographics

CLIA Number: 11D0266658

Facility Name: GLENN E FUSSELL MD

Facility Address:
2827 WARM SPRINGS RD SUITE 3-B
COLUMBUS, GA
ZIP 31904
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Facility Phone Number: 706 324-4177

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1861509184

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D0266658
LAB Type	Physician Office
Facility Name	GLENN E FUSSELL MD
Street	2827 WARM SPRINGS RD SUITE 3-B
City	COLUMBUS
State	GA
ZIP	31904
Phone	706 324-4177
CertificateType	3
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024